Rose, Scotty R

Rose, Scotty R is an individual health care provider with primary practice located at 101 S Eisenhower Dr , Beckley WV 25801-4929. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rose, Scotty R can be contacted via phone (304) 256-7100.

Contact Information

Primary practice address
101 S Eisenhower Dr Beckley WV 25801-4929
Phone: (304) 256-7100
Fax: (304) 256-7111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 624 West Virginia

Profile Details

NPI number 1780627885
LBN Legal business name Rose, Scotty R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780627885 NPPES
West Virginia MEDICAID 1780627885

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